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Gastroenterology Coding Alert

Surgical Coding:

46250-46262: Bypass 3 Myths When Coding Int/Ext Hemorrhoidectomy

Published on Mon Sep 20, 2010

Unlisted procedure for anus has got more company than what you thinkYou're facing a blank wall for your claim if you can't tell the difference between internal and external hemorrhoids. This time around, anatomy could be your biggest ally. Here's a list of misconceptions you should avoid.1. Hemorroid Location Gives You NothingBy definition, you can pinpoint an external hemorrhoid if it originates at the lower end of the anal canal near the anus. On the other hand, intermal hemorrhoid is such if it originates at the top (rectal side) of the anal canal. The latter can be much more difficult to diagnose and treat, says Marcella Bucknam, CPC, CCS-P, CPC-H, CCS, CPCP, COBGC, CCC, manager of compliance education for the University of Washington Physicians Compliance Program.Wonder what clues you should look for to differentiate one from the other? Turn to the dentate line, which is a mucocutaneous junction about a centimeter [...]
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